Shah, Gautam Motllal

Shah, Gautam Motllal is an individual health care provider with primary practice located at 10192 W. Coggins Drive , Sun City AZ 85351-3405. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Shah, Gautam Motllal can be contacted via phone (623) 974-2434.

Contact Information

Primary practice address
10192 W. Coggins Drive Sun City AZ 85351-3405
Phone: (623) 974-2434
Fax: (623) 974-4925
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10116 Arizona
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 10116 Arizona

Profile Details

NPI number 1831143676
LBN Legal business name Shah, Gautam Motllal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Mar 3rd, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831143676 NPPES
Arizona MEDICAID 208745

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